A6515, Gradient compression wrap with adjustable straps, full leg, each, customHCPCS/CPT
Prior Auth Required
At least one active policy explicitly requires prior authorization (high confidence)
EVICORE-HPLAN-CIGNA_MEDICARE-268F28B96146, Cigna Medicare Advantage Durable Medical Equipment Code List - Effective 01/01/2025
Ask Backwork about documentation requirements, denial risks, or coverage in your state.